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General NPI Number Information
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NPI Number | 1073632238
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Entity Type | Individual
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Provider Name | ANNAMARIA ROSS M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 333 1ST ST N STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32250-6939
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Country | US
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Telephone | 866-490-5038
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Fax |
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Provider Business Mailing Address
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Address Line | 8034 PEAKS RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-4884
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Country | US
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Telephone | 804-349-4248
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6378
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License Number State | NC
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